Healthcare Provider Details

I. General information

NPI: 1710077599
Provider Name (Legal Business Name): LIFETIME HEARING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 11/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W PALMETTO ST
FLORENCE SC
29501-4428
US

IV. Provider business mailing address

522 W PALMETTO ST
FLORENCE SC
29501-4428
US

V. Phone/Fax

Practice location:
  • Phone: 843-662-4327
  • Fax: 843-662-4395
Mailing address:
  • Phone: 843-662-4327
  • Fax: 843-662-4395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number865
License Number StateSC

VIII. Authorized Official

Name: DR. LESLEY SUE KIRBY
Title or Position: PRESIDENT
Credential: AUD
Phone: 843-662-4327